JASON R WALLACE DO
NPI 1992020937
Family Medicine in Pagosa Springs, CO

Q: What is Jason Wallace's NPI number?

The NPI number for Jason Wallace is 1992020937. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Q: What is Jason Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Wallace was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment

85.4/100

CMS Quality Rating

95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147(970) 731-3700 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Jan 4, 2019 (2 updates tracked since 2019).

On this page

About Jason R Wallace Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON R WALLACE DO (NPI 1992020937) is an individual family medicine provider in Pagosa Springs, Colorado, licensed in Colorado (DR.0050788) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1992020937

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJASON R WALLACECredential: DO

Location Address95 S PAGOSA BLVDPagosa Springs, CO 81147-8329

Mailing Address95 S Pagosa BlvdPagosa Springs, CO 81147-8329 · (970) 731-3700

Phone(970) 731-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 1, 2010

Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration

NPPES CertifiedJuly 22, 2020

✔ NPI 1992020937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0050788

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

95 S PAGOSA BLVD, Pagosa Springs, CO 81147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason R Wallace Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719120617

PECOS Enrollment IDI20250602000640

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.01

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers26 claims42 services$6.58 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers16 claims16 services$41.46 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers31 claims31 services$111.93 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers28 claims82 services$43.58 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers17 claims97 services$25.52 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers26 claims26 services$74.73 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers34 claims34 services$23.60 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers34 claims34 services$22.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers53 claims285 services$3.02 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers14 claims14 services$8.24 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers21 claims21 services$14.17 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims5,225 services$0.45 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers57 claims57 services$19.93 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers18 claims18 services$16.44 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers106 claims106 services$47.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers133 claims134 services$110.96 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims16 services$35.74 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers21 claims21 services$38.25 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers21 claims21 services$24.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE FLEMMINGS MD

Emergency Medicine

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

DR. BARRY WAYNE HOLCOMB JR. MD,FCCP

Internal Medicine (Pulmonary Disease)

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

DR. ANTHONY ELI VELASQUEZ M.D.

Emergency Medicine

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

KELLY ANNE CESARY APN

Nurse Practitioner

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 507-4000

UPPER SAN JUAN HEALTH SERVICE DISTRICT

General Acute Care Hospital (Critical Access)

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

JEREMIAH STEED

Orthopaedic Surgery

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

MRS. LAURA MARCU BUCK D.O.

Psychiatry & Neurology (Neurology)

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 731-3700

JOY AILEEN NORRIS

Emergency Medicine

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 507-3781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Wallace's NPI number?

The NPI number for Jason Wallace is 1992020937. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Jason Wallace located?

Jason Wallace practices at 95 S Pagosa Blvd, Pagosa Springs, CO 81147. The listed phone number is (970) 731-3700.

What is Jason Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jason Wallace enrolled in Medicare?

Yes. Jason Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Wallace accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jason Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Wallace was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.